Very fast heart beat affecting echo?

Posted By Adam Groton on July 25, 1998 at 12:37:17:







Recently had an echo done at a local hospital with not good results.
The technician did a good job but was rushed and rude.
People came into the room unannounced during the procedure.
In reviewing my own echo, noticed a heart beats per minute of
100 to 150 while my normal rate while resting is 50 to 60.
Wonder how much this could effect the echo?  Is it possible
the echo might not be as quite as bad?
Will enclose a copy of the echo below.  Wish they had quantified
some of the jargon.  For example, what is severe mitral regurgitation
in numbers.  The echocardiographer said it is quantified but did
not tell me the numbers.  Not helpful at all in this location.
Reason mitral valve prolapse
Age 54 Height 71 Weight 140#
M-mode (cms) Ao: 3.2  L.A.: 6.0  LVIDd: 6.6  LVIDs: 4.5
LA: The left atrium is moderately enlarged.
LV: The left ventricle is moderate dilated.  Overall left ventricular
function is midly reduced with left ventricular ejection fraction
estimated at 50%.  The transmitral Doppler flow profile is normal.
MV: The mitral valve is moderately thickened with moderate myxomatous
degeneration and moderate prolapes of the anterior and posterior mitral
valve leaflets.  There is severe mitral regurgitation.
AOV: The aortic valve is normal and trileaflet.
AOR: The aoritc root and ascending aorta are normal.  The transverse
aorta, descending aorta, and abdominal aorta are not well seen.
RA: The right atrium is mildly enlarged.
RV: Right ventricular size, contractile function, and interventricular
septal motion are normal.
TV: The tricuspid valve is normal with moderate tricuspid regurgitation.
The velocity of the tricuspid regurgitation is 2.6 m/s. The pulmonary
artery systolic presuure is estimated to be 40 mmHZ.  This is assuming a
right atrial pressure of 12 mmHg.
PV: The pulmonic valve is now well seen.  There is mild pulmonic
regurgitation.  The pulmonary artery is normal.
Other: The pericardium, inferior vena cava, and superior vena cava are
normal.
Conclusion: The mitral valve is moderately thickened and redundant with
prolapse of the anterior and posterior leaflets.  Eccentric jet of severe
mitral regurgitation.  Left ventricle is dialated with mild global
reudction in systolic function.  Left atrium is moderately enlarged.
Right atrium is mildly enlarged.  Moderate to severe tricuspid
regurgitation.  Moderate pulmonary hypertension.  When compared wtih echo
report of 3/25/87, mitral regurgitation has worsened.
(Note, the previous echo was lost, only a short report was found and not
sure whether the found report was only a 2 paragraph summary without
any qunatification.)